Pituitary apoplexy causing isolated blindness after cardiac bypass surgery

Matthew J Thurtell; Michael Besser; G Michael Halmagyi

doi:10.1001/archopht.126.4.576

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Pituitary apoplexy causing isolated blindness after cardiac bypass surgery

Journal article

Open access

Peer reviewed

Pituitary apoplexy causing isolated blindness after cardiac bypass surgery

Matthew J Thurtell, Michael Besser and G Michael Halmagyi

Archives of ophthalmology (1960), Vol.126(4), pp.576-578

04/2008

DOI: 10.1001/archopht.126.4.576

PMID: 18413537

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https://doi.org/10.1001/archopht.126.4.576View

Published (Version of record) Open Access

Abstract

Pituitary apoplexy is a clinical syndrome that usually results from infarction of, or hemorrhage into, a pituitary macroadenoma. Typically, there is a rapid increase in tumor volume resulting in the abrupt onset of a variable combination of symptoms and signs that may include headache, meningismus, vomiting, visual loss, ophthalmoplegia, and stupor.1 Many factors have been implicated as precipitants, including major surgery.2 We describe 2 patients who developed blindness, without any other symptoms or signs to suggest pituitary apoplexy, due to infarction of undiagnosed pituitary macroadenomas during coronary artery bypass grafting (CABG).

Magnetic Resonance Imaging

Glucocorticoids - administration & dosage

Pituitary Apoplexy - diagnosis

Dexamethasone - administration & dosage

Humans

Middle Aged

Male

Pituitary Neoplasms - pathology

Tomography, X-Ray Computed

Decompression, Surgical

Pituitary Apoplexy - etiology

Coronary Artery Bypass - adverse effects

Dexamethasone - analogs & derivatives

Pituitary Neoplasms - diagnostic imaging

Adenoma - pathology

Adenoma - diagnostic imaging

Aged

Infusions, Intravenous

Blindness - etiology

Pituitary Apoplexy - drug therapy

Details

Title: Subtitle: Pituitary apoplexy causing isolated blindness after cardiac bypass surgery
Creators: Matthew J Thurtell
Michael Besser
G Michael Halmagyi
Resource Type: Journal article
Publication Details: Archives of ophthalmology (1960), Vol.126(4), pp.576-578
DOI: 10.1001/archopht.126.4.576
PMID: 18413537
NLM abbreviation: Arch Ophthalmol
ISSN: 0003-9950
eISSN: 1538-3601
Publisher: American Medical Association; United States
Language: English
Date published: 04/2008
Academic Unit: Neurology; Ophthalmology and Visual Sciences
Record Identifier: 9983979917402771

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